Inpatient Coder

Select Medical•Mechanicsburg, PA

1d•Onsite

About The Position

Select Medical is seeking an entry-level inpatient coder responsible for reviewing multidisciplinary inpatient medical records and health information to classify patient diagnoses and procedures by accurate ICD-10-PCS codes and DRGs. This role involves evaluating documentation of patient care to code and abstract data used for statistics, state reporting, reimbursement, and other needs. The coder will assign ICD-10-CM codes to inpatient diagnoses, treatments, and procedures according to coding guidelines, ensuring coding is completed with an error rate within the work standard and maintaining standards relative to productivity and quality. Communication with physicians and medical staff for documentation clarification is a key aspect, as is preparing workload reports and participating in department management studies. The role also includes performing peer reviews, staying current with coding regulations, monitoring compliance, and investigating opportunities for documentation improvement to guide hospital staff on compliant documentation practices.

Requirements

Completed medical coding education program with emphasis on inpatient coding
Excellent oral and written communication skills
Detail oriented
Excellent time management and organizational skills

Nice To Haves

RHIA, RHIT, CCS or CPC-H credentials.
Experience in ICD-10-CM diagnoses, procedure coding and DRG validation.
One or more years of experience with inpatient hospital medical records coding.

Responsibilities

Entry-level position responsible for reviewing multidisciplinary inpatient medical records and health information in order to classify patient diagnoses and procedures by accurate ICD-10-PCS codes and DRGs.
Evaluate documentation of patient care to code and abstract data used for statistics, state reporting, reimbursement, and other needs.
Assign ICD-10-CM codes to inpatient diagnoses, treatments and procedures according to coding guidelines.
Complete coding with an error rate within the work standard and maintain standards relative to productivity and quality.
Communicate verbally and in writing with physicians, medical staff, and other care professionals when documentation needs clarification for accurate code assignment, which may or may not impact reimbursement.
Prepare workload reports and participate in department management studies, as well as data quality reviews or other documentation audits.
Perform peer review of codes and DRG assignment.
Keep knowledge of coding and DRG assignment current by reviewing federal publications and other reference materials for changes in regulations and practice guidelines.
Monitor compliance with documentation standards required for accurate and thorough coding
Investigate, evaluate and identify opportunities for documentation improvement
Guide hospital CEOs, medical staff, and others regarding compliant documentation practices required for accurate reimbursement and statistics